儿童昏迷210例原因分析

Causes analysis of 210 cases with pediatric coma

目的 研究儿童重症监护病房（PICU）昏迷患儿的病因分布,以指导临床治疗.方法 采用回顾分析方法对210例昏迷患儿的病因进行分析.结果 210例昏迷患儿中,内科疾病150例,占71.43％,外科疾病60例,占28.57％.感染引起者110例,占52.38％,颅脑外伤58例,占27.62％,其中车祸31例,占14.76％.结论 PICU收治的昏迷患儿中,以感染性疾病为主,但外伤,尤其是车祸外伤所致昏迷患儿有所增加.因昏迷就诊患儿,尽快明确病因,对正确治疗及改善预后有积极意义.

Objective To investigate the causes of coma children in Pediatric Intensive Care Unit （PICU）.Methods The causes of 210 children with coma were retrospectively analyzed.Results Among 210 cases,150 cases attributed to medical disease （71.43 %）,while 60 cases attributed to surgical disease （28.57 %）.110 cases were caused by infection（52.38%）,58 cases were caused by cranioeerebral trauma （27.62%）,while 31 cases involved in traffic accident（14.76%）.Conclusion The main cause of coma in PICU is infectious diseases,but traffic accident trauma coma has been increased.It is positive to correct treatment and improve prognosis to recognize the cause as soon as possible.